| NPI | 1295907665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OK 35283) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A91659) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2021-01-29 |